| NPI | 1871819037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY LOUISE SUMPTER Co Owner 606-632-3519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2010-04-13 |